From the Guidelines
For a 20kg child, the recommended dose of ibuprofen, a component of Ibugesic Plus, is 10 mg/kg every 8 hours, as suggested by the European Society for Paediatric Anaesthesiology 1. Given the child's weight, this would translate to a dose of 200mg of ibuprofen every 8 hours. However, since Ibugesic Plus also contains paracetamol, it's crucial to consider the dosing of both components together. The paracetamol component should be dosed at 10 to 15 mg/kg every 6 hours, according to the same guidelines 1. For a 20kg child, this means 200mg to 300mg of paracetamol every 6 hours. Considering the combination, the dose of Ibugesic Plus for a 20kg child should be calculated based on the lowest effective dose of both ibuprofen and paracetamol, ensuring not to exceed the maximum recommended daily dose of either component. It's essential to check the specific formulation strength of Ibugesic Plus and adjust the dose accordingly to avoid overdosing. Additionally, administration with food is recommended to minimize stomach upset, and the child should be monitored for any signs of adverse effects, such as allergic reactions or gastrointestinal issues 1. If the child has a history of stomach ulcers, asthma triggered by NSAIDs, or kidney problems, alternative pain management strategies should be considered. In cases where fever or pain persists beyond 3 days, consultation with a doctor is necessary to reassess the treatment plan.
From the Research
Dosage Information
- The provided studies do not specify the exact dosage of Ibugesic Plus for a 20kg child 2, 3, 4, 5, 6.
- However, the studies suggest that ibuprofen and paracetamol can be used in combination for fever and pain relief in children 2, 3, 4.
- The dosage of ibuprofen for children is typically based on their weight, with a recommended dose of 5-10 mg/kg every 6-8 hours 4.
- For a 20kg child, the recommended dose of ibuprofen would be 100-200 mg every 6-8 hours.
- Paracetamol is also commonly used for fever and pain relief in children, with a recommended dose of 10-15 mg/kg every 4-6 hours 4.
- For a 20kg child, the recommended dose of paracetamol would be 200-300 mg every 4-6 hours.
Safety and Efficacy
- The combination of ibuprofen and paracetamol has been shown to be effective for fever and pain relief in children, with minimal adverse effects 2, 3, 4.
- The studies suggest that the combination of ibuprofen and paracetamol is superior to either drug alone for increasing time without fever and relieving fever-associated discomfort in febrile children 4.
- However, the safety and efficacy of Ibugesic Plus specifically for a 20kg child cannot be determined from the provided studies, as they do not provide information on the exact formulation and dosage of Ibugesic Plus 2, 3, 4, 5, 6.